Nancy Jane Fauvergue, RN
Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Martinsville, IN
NPI 1780904151 · NPPES record last updated Jun 8, 2010
Key facts
- NPI
- 1780904151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 28137587A (IN)
- Practice address
- 4330 Tulip Dr S
Martinsville, IN 46151-7594 - Phone
- (317) 847-3959
- NPI assigned
- Jun 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28137587A | IN | MD | Durable Medical Equipment & Medical Supplies |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 28137587A | IN | Yes |
Addresses
Primary practice location
4330 Tulip Dr S
Martinsville, IN 46151-7594
Mailing address
4330 Tulip Dr S
Martinsville, IN 46151-7594
Phone (317) 847-3959
Other providers in Martinsville, IN
- Everside Health, LLC
- Evolve Mental Health P C
- Family Serviceof Central Indiana, Inc.
- Donald A Fantuzzo
- Fauvergue Enterprises
- Janelle L Floyd
- Lori Wronowicz Frasher
- Ashley Elizabeth Frazier
- Alexandra B Freeman
- Fresenius Medical Care Nephrology and Internal Medicine Dialysis Cente
All providers in Martinsville, IN · Durable Medical Equipment & Medical Supplies in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.